HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7 �J
Date: Jul , 19 �i min SCANNEDPermit Number: V /'
Y" yRECEIVED
St. Luce County
a
Building Permit Applic tion JUL 3 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie
2300 Virginia Avenue, Fort Pierce FL 34982 Countyr F L
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPETenCe
PROPOSED IMPROVEMENT LOCATION:
Address: 7180 S US Highway 1 Port ST Lucie, FL 34952
Property Tax ID #: 3422-123-0001-000-0
Site Plan Name-0-0r G.eiierahlF,ence lnsta!p,
Project Name: Install Wood Fence
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
NOT POOL BARRIER, install 42' L.F. of 6'tall board on board wood fence with lea 164" double swing gate.
-Ir✓O M 17 /A m jhSa-642 P, ►-� n I 1 S IA
coy)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,148.00
—Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:_
—Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAdobe Corp
Name: Derrick Bailey
Address:8049 Links Way
Company:A Great Fence
City: Port ST Lucie State: PL
Zip Code: 34986 Fax:
Phone No.251-380-8375
Address:751 NW Enterprise Drive
City: Port ST Lucie State: FL
Zip Code: 34986 Fax: 408-0272
Phone No812-0223
E-Mail:kevin@fulcrumgroup.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@agreatfence.com
State or County License23954
R vaiue or construction is 52s00 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
�1
t e CAs C
!I ek
J
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON T JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEN�J TO OBTAIN FINANCING, CONSULT
WITH YOgR L DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE COMMENCEMENT."
Signatur 6f Oki L see/Corff�'ac�for as Agent for Owner
STAT OF F�(//LORI A 7
COUNTY OF srL ele
The forgoing instrument was acknowledged before me
this I day of July 20 /9 by
DaMek Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
r" - � Z_�_; � �, e- - �
(Signature of Nota Pub ic- State of Florid
CRYSTAL Y BISHOP
Commission N . GG127618 MY C'v((ccam�MAISSION # GG12761E
%�• EXPIRES July 24, 2021
•7a',:
STATE Oj/FLORIDA
COUNTY OF ST Lude
The forgoing instrument was acknowledged before me
this 1 day of nary 20 / 9 by
Dartick Bailey
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
of Notary orida 1
,' gg% CRYSTAL
���.,Y�I�'BISHOP
i No. GG129 •' Y COMMIkWA# GG127618
'.,,a'v,,•`° EXPIRES July 24, 2021
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
MANGROVE
REVIEW
SEA TURTLE
REVIEW
DATE
RECEIVED
DATE
COMPLETED